Individual
MISS KIMBERLY WHITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
800 LAKESHORE DR, BIRMINGHAM, AL 35229-0001
(205) 726-2574
(205) 726-4002
Mailing address
1617 WILDWOOD CROSSINGS, BIRMINGHAM, AL 35211-6410
(813) 786-7181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
960
AL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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